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目的探讨轻、中度单纯性肥胖(27.5 kg/m~2≤体质量指数<32.5 kg/m~2)患者行腹腔镜袖状胃切除(laparoscopic sleeve gastrectomy,LSG)术后的疗效及生存质量。方法将2014年2月至2015年8月广州中医药大学金沙洲医院亚太减重暨糖尿病外科中心收治的术后随访满1年的33例行LSG术的轻、中度单纯性肥胖患者进行回顾性分析。观察其物理指标及生存质量。结果术后1年,患者体质量下降明显,多余体质量减少百分比(percentage of excess weight loss,EWL%)为75.0%,术前术后的体质量、腰围、臀围及体质量指数比较,均差异有统计学意义(P<0.05)。术前术后患者OSF-36总评分比较,均差异有统计学意义(P<0.05)。结论轻、中度单纯性肥胖患者行LSG术的近期减重效果确切,术后生存质量明显改善,远期减重效果及生存质量还需大样本、长期的随访。
Objective To investigate the effect and quality of life of patients with mild to moderate simple obesity (27.5 kg / m 2 ≤ body mass index <32.5 kg / m 2) after laparoscopic sleeve gastrectomy (LSG) . Methods From February 2014 to August 2015, 33 patients with mild to moderate simple obesity who underwent LSG for one year after follow-up at the Asia-Pacific Weight Loss and Diabetes Surgical Center of Jinshazhou Hospital, Guangzhou University of Chinese Medicine were reviewed Sexual analysis. Observe the physical indicators and quality of life. Results One year after operation, the body weight of the patients decreased significantly. The percentage of excess weight loss (EWL%) was 75.0%. The body mass, waist circumference, hip circumference and body mass index The difference was statistically significant (P <0.05). The OSF-36 total score in preoperative and postoperative patients was significantly different (P <0.05). Conclusions The recent weight loss results of patients with mild to moderate simple obesity undergoing LSG surgery are accurate and the postoperative quality of life is significantly improved. Long-term follow-up is still required for long-term weight loss and quality of life.